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Cited by 110Stroke Rehabilitation and RecoveryMedical Practices and RehabilitationAging, Health, and Disability

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Rehabilitation needs for older adults with stroke living at home: perceptions of four populations

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other members of the BRAD group, Vincent, Claude, Deaudelin, Isabelle, Robichaud, Line, Rousseau, Jacqueline, Viscogliosi, Chantal, Talbot, Lise R, Desrosiers, Johanne·2007·BMC Geriatrics
DOI 10.1186/1471-2318-7-20PMC PMC1994951
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Abstract

BACKGROUND: Many people who have suffered a stroke require rehabilitation to help them resume their previous activities and roles in their own environment, but only some of them receive inpatient or even outpatient rehabilitation services. Partial and unmet rehabilitation needs may ultimately lead to a loss of functional autonomy, which increases utilization of health services, number of hospitalizations and early institutionalization, leading to a significant psychological and financial burden on the patients, their families and the health care system. The aim of this study was to explore partially met and unmet rehabilitation needs of older adults who had suffered a stroke and who live in the community. The emphasis was put on needs that act as obstacles to social participation in terms of personal factors, environmental factors and life habits, from the point of view of four target populations. METHODS: Using the focus group technique, we met four types of experts living in three geographic areas of the province of Québec (Canada): older people with stroke, caregivers, health professionals and health care managers, for a total of 12 groups and 72 participants. The audio recordings of the meetings were transcribed and NVivo software was used to manage the data. The process of reducing, categorizing and analyzing the data was conducted using themes from the Disability Creation Process model. RESULTS: Rehabilitation needs persist for nine capabilities (e.g. related to behaviour or motor activities), nine factors related to the environment (e.g. type of teaching, adaptation and rehabilitation) and 11 life habits (e.g. nutrition, interpersonal relationships). The caregivers and health professionals identified more unmet needs and insisted on an individualized rehabilitation. Older people with stroke and the health care managers had a more global view of rehabilitation needs and emphasized the availability of resources. CONCLUSION: Better knowledge of partially met or unmet rehabilitation needs expressed by the different types of people involved should lead to increased attention being paid to education for caregivers, orientation of caregivers towards resources in the community, and follow-up of patients' needs in terms of adjustment and rehabilitation, whether for improving their skills or for carrying out their activities of daily living.

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Figure 1 The Disability Creation Process, conceptual scheme (Fougeyrollas, Cloutier, Bergeron, Côté, Côté & St-Michel, 1998). CRIPPH 1998. ripph@irdpq.qc.ca. 1(418)529-9141, p.6202. *Authors of this manuscript have added subcategories to the original scheme to facilitate the understanding of text.
Figure 1 The Disability Creation Process, conceptual scheme (Fougeyrollas, Cloutier, Bergeron, Côté, Côté & St-Michel, 1998). CRIPPH 1998. ripph@irdpq.qc.ca. 1(418)529-9141, p.6202. *Authors of this manuscript have added subcategories to the original scheme to facilitate the understanding of text.CC BY · PubMed Central

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Research works printed but not linked: 14

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  4. Ministère des travaux publics et services gouvernementaux: Les défis d'une société canadienne vieillissante. 1999 et après. 1999, Ottawa: Gouvernement du Canada: Ottawa
  5. Garant L: Synthèse d'un programme d'évaluation sur la réponse aux besoins de longue durée des personnes âgées ayant des limitations fonctionnelles. 1994, Québec: Division planification-évaluation santé et services sociaux du ministère de la santé et services sociaux, [Collection: Études et analyses]
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  7. Association québécoise des personnes aphasiques: Guide d'information et de référence sur l'aphasie. S'informer pour mieux agir. 1997, Québec
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  10. Brandriet LM, Lyons M, Bentley J: Perceived needs of poststroke following termination. Nurs Health Care. 1994, 15: 514-520.
  11. Desnoyers D, Lagacé C: La réadaptation: tendances et perspectives. Synthèse d'une recension d'écrits. 1995, Montréal: Association des hôpitaux du Québec, [Collection: La reconfiguration du réseau.]
  12. Morgan DL, Krueger RA: Focus Group Kit. Edited by: King JA. 1998, London: Sage Publications, 1–6:
  13. Laperrière A: Critères de scientificité des recherches qualitatives. La recherche qualitative: Enjeux épistémologiques et méthologiques. Edited by: Poupart J, Deslauriers JP, Groulx LH, Laperrière A, Mayers R, Pires AP. 1997, Montréal: Gaëtan Morin Éditeur Ltée, 341-364.
  14. Laboratoire d'informatique et de terminologie de la réadaptation et de l'intégration sociale du Centre François-Charon et Office de la langue française: Dictionnaire de la réadaptation. Tome 1: Termes techniques d'évaluation. 1995, Québec: Les publications du Québec

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Authors
other members of the BRAD group, Vincent, C., Deaudelin, I., Robichaud, L., Rousseau, J., Viscogliosi, C., Talbot, L. R., & Desrosiers, J.
Affiliations
  • Centre interdisciplinaire de recherche en réadaptation et intégration sociale (CA)
  • Université Laval (CA)
  • Centre de recherche sur le vieillissement (CA)
  • Université de Sherbrooke (CA)
Corresponding author
Vincent, Claude
ORCID
Venue
BMC Geriatrics
Publisher
Springer Science and Business Media LLC
Published
2007-08-13
Volume
7
Issue
1
Pages
20-20
ISSN
1471-2318 (ISSN-L)
DOI
10.1186/1471-2318-7-20
PMC
PMC1994951
OpenAlex
W2133570642
Cited by
110
References
75
Citations by year
2026: 2 · 2025: 2 · 2024: 3 · 2023: 1 · 2022: 3 · 2021: 5 · 2020: 9 · 2019: 5 · 2018: 3 · 2017: 8 · 2016: 7 · 2015: 6 · 2014: 8 · 2013: 9 · 2012: 7
FWCI
6.80
Type
journal article
Language
en
Open access
Licence
Locations
  • BMC Geriatrics (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • Papyrus : Institutional Repository (Université de Montréal) (submittedVersion)
Topics
  • Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
  • Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
Keywords
stroke, older adults, unmet rehabilitation needs, home-based rehabilitation, community-dwelling stroke survivors, caregivers, healthcare workers, health managers, social participation (health and rehabilitation), activities of daily living, personalized rehabilitation, caregiver education, functional autonomy
MeSH terms
Stroke Rehabilitation, Activities of Daily Living, Adult, Aged, Aged, 80 and over, Communication, Cross-Sectional Studies, Environment, Female, Geriatrics, Home Care Services, Humans, Interpersonal Relations, Male, Middle Aged, Quebec, Social Perception, Social Support, Caregivers, Focus Groups, Needs Assessment, Stroke

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